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A SSSP helps record the basic health and safety actions companies need to do,
such as:
Responsibilities:
- Provide opportunities for employees to be involved
- Employees have a responsibility for their own safety
For managing hazards:
Health & Safety
Policy
Subcontractor
Communication &
Consultation
Emergency
Safety Inspections
Hazard
Identification, Risk
Management Info
Procedures
Incident
Management
Safety Performance
Monitoring
Safe Work
Procedures
Notifiable Works
SDS sheets
Training Register
Evacuation Plan
Supervision
Employee Health
Employee Induction
& Training
Notifiable Works
Accident/Incident
Register
Full range of Safety and
Hazard Registers
Toolbox Safety
Tips and Meetings
Accident
Investigation
Inspection Form
The person who is designated to act on behalf of your business for safety on site
may be a dedicated safety representative, your supervisor, or one of your
employees.
Definition of a Principal
A person who engages any person (other than as an employee) to do any work for
gain or reward.
A principal can be a:
client who directly contracts a main contractor or subcontractors
a main contractor who engages subcontractors
subcontractors who engage other subcontractors
self-employed persons who engage subcontractors.
Definition of a Person Who Controls a Place of Work
A person who controls a place of work can be a person who:
owns, leases, subleases or is in the possession of/occupies a place of work
owns, leases or subleases plant or equipment used in the place of work.
Definition of a Person
A person can be a legal person such as an employer or a natural person such as
an employee.
A person can be:
the Crown
a group of people who act as an individual such as a company, a body
corporate or the Crown
an employee
a self-employed person.
Persons in control of the workplace. The subcontractor must identify the person
who has control of the workplace and confirm this on form 1 of this SSSP. This
will often be the projects principal, but if the work is being done directly for a
client on their premises, then the employer in control of the site may be the client
or building owner. The people in control of the workplace, and their site
representative, have the overall responsibility for health and safety management
for the site, which will include managing most of the items in the SSSP Checklist
and co-ordination of all trades health and safety.
All hazards to be brought onto the site or created during the course of the work
must be identified and controlled. The standard Task Analysis Worksheet may be
used to analyse the various tasks within your trade work, identify the significant
safety hazards and detail the method of control. These sheets must be attached
and forwarded with your SSSP.
Employee participation
Communication
Discuss programs
Record Meetings
Details of meetings should be recorded and kept on file. Record meeting dates,
attendees and discussion items. Show follow-up items from previous hazards,
accidents and incidents.
Emergencies(Emergency Plan; Emergency Evacuation Plan)
In the event of a site evacuation, the Emergency Evacuation Alarm will be
sounded and your employees must promptly evacuate the site. The site
management team will notify you of your assembly point at the time of your
induction onto the site.
Some emergencies that you may need to prepare for, and have a procedure to
deal with, include spillage of hazardous substances, serious harm accidents to
your staff, and rescue of a fall arrest victim. Each potential emergency you
identify under your hazard management process must have an emergency plan
and procedure prepared and included with the hazard management information
submitted so that any effect it may have on the Emergency Evacuation Plan can
be identified and rectified.
You must have a person on site trained in First Aid, with a current valid
certificate, in case of an injury or accident.
Accident/Incident Reporting
All accidents and incidents must be reported immediately to site management.
Accident and Incident Investigation Reports are to be given to site management
as soon as is practicable. You must also report serious harm accidents directly
to Provincial or State agencies. In the case of serious harm accidents, the scene
must not be disturbed until a full and complete accident investigation has been
undertaken.
You will need to provide and maintain evidence of your employees skills training,
e.g. trade qualifications, certificate of competency, etc.
Sign-off/Approval
Before any work commences on site, the subcontractor will sign off their SSSP
and submit it with all attachments to the principal/site management for approval.
The principal/site management will review the plan using the Site Specific Safety
Plan Evaluation and return it to the subcontractor if not complete, or request a
meeting with the subcontractor to review and action any deficiencies.
Once all the evaluation checks have been satisfactorily agreed, the principal/site
management will sign and date the SSSP confirming approval and return a signed
copy to the subcontractor for their record.
Subcontractors
The subcontractor must have a process in place for approving their own
subcontractors safety systems. If the subcontractor contracts out some of their
work to another subcontractor, then the site management must be notified in a
schedule attached to the subcontractors SSSP of the names and contact details
for all their subcontractors.
Hazard Register
PROJECT/SITE
IDENTIFIED
HAZARD
POTENTIAL
HARM
SIGNIFICANT
HAZARD
Yes
No
HAZARD
CONTROLS
EMPLOYER
SDS records concise health, safety and technical information held for all products used and stored by the organisation
Date
Substance,
Chemical,
Material or
Solvent
Supplier
SDS
Report
Held Y/N
Hazard Potential
Safer Alternative
Protective
Clothing
Required
Action
Recommen
ded
Action
Review
Date
JOB DESCRIPTION
PROJECT/SITE
EMPLOYER
PPE required:
DATE
Plant required:
Signage required:
Date:
PROJECT/SITE
EMPLOYER
FOREMAN/SUPERVISOR
DATE
PRINCIPAL
Attendees:
Signatures of attendees:
Date to be
resolved by:
Date:
ASSESSOR
SIGNED
DATE
Hazards
Height/Overhead Work:
Falling material
Ladders
Scaffolds
Roofs
Cranes
Elevated work platforms
Trenches/Confined Spaces:
Pits and trenches
Tanks
Shafts
Confined spaces
Plant:
WoF/current test tag
Machine guards
RCDs
Leads
Vibration
Controls
General Environment:
Public access/protection
Signage/barriers
Organisation/housekeeping
Wet/slippery environment
Hazardous materials
Chemicals
Services (gas/water/power)
Exposure to weather
Extreme temperatures
Traffic
Noise
Dust and debris
Explosion/fire
Machinery
Mobile plant
EMPLOYER
Safety representative:
Inspection by:
Date:
Site Control
/x
Hazard board and signage up-toEnvironmental plan issues
Toolbox Talk last date
/
Safety inductions for all on site
Safety notice board current
Site Facilities
Offices clean, adequate and
Smoko sheds clean, potable
Toilets clean, washing water
Tool/equipment sheds adequate
General Site Tidiness and
Clear, safe access to work areas
Stairways and accessways clear
Hoardings/fence and gates
Loose materials secure from
Personal Safety Equipment
Signage displayed and legible
Hardhats being worn
Correct footwear being worn
Glasses/ear muffs/vests/masks
First Aid/Fire Prevention
First Aid box
Availabl
Curre
Accident register
Fire
Available
Current (12 mth)
Sufficient
Evacuation
Procedure
All emergencies
Cranes/Hoist/Lifting Equipment
Proper lift assessment plan done
Crane certification current
Slings/chains certified
Operator procedures in place
Inspections being done
Man cage available
Emergency plan in place
Compressed Air Equipment
In good condition
Appropriate guards fitted
Trained user
Excavations correctly shored
9
9.1
9.2
9.3
10
10.
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11.
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14.
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15.
15.
Welding/Gas Cutting
Hot work permits being issued
Fire extinguishers on hand
Operators using PPE
Electrical Equipment
Main board
Current tagged and damageCurrent tagged plant
Current tagged lifeguards
Leads safely placed
Equipment in good condition
Appropriate guards on
Adequate temporary lighting
Chemicals
Correctly stored
Safety Data Sheet (SDS)
Operators using PPE
Tools
PAT tool current and secure
Staff trained in tool use
PAT signage on site
Scaffolding
Notifiable weekly
Handrails/mid-rails
Toe boards
Platforms
Ladders/stairs
Base sound
Work platforms clear
Platforms trip free
Planks tied down
Headroom clear
Ties/bracing adequate
Ladders
Good condition
Secured top and bottom
Stays to step ladders
Working 2 steps down
Fall Hazards
Floor edges
Floor
Lift shafts
Stairs
Excavations
/x
COMMENTS/ACTION DESCRIPTION
PERSON TO
ACTION
COMPLETE
EMPLOYER
Potential Emergency
Situations
List separately:
Procedure:
Responsibilities
Personnel:
Key responsibilities:
Evacuation Procedures
Visitors:
Assembly areas:
Alarms:
Medical Treatment
Training and
First Aiders:
Emergency services:
Location of nearest
medical centre:
Communication
We have an emergency at
We need help from Ambulance/Fire
Directions to the emergency are
Our phone number is
The medical problem seems to be
Send someone outside to meet the emergency services
POISON CENTRE
(_______) _____-__________
POWER (Customer Service)
(
)
24hr Faults
(
)
Subcontractors on site:
(
)
SAFETY MANAGER IS:
TRAINED FIRST AIDER IS:
FIRST AID KIT AND FIRE EXTINGUISHER LOCATED AT SITE OFFICE
OR:
Accident/Incident Register
PROJECT/SITE
Date
Details:
and
Time
Name of person (injured or observer):
Description of accident/incident/near miss
Cause of harm (if any)
Type of injury/disease (if any)
EMPLOYER
Immediate action
taken:
First Aid
Corrective
action
Review Hazard
Register
Serious
Harm
Y/N
WORKS
AFE
Notified
Y/N
Date
Investigation
actioned and
documented
Y/N
Investigation
outcomes
discussed at
safety meeting
on:
a
(Specify all)
Sex (M/F)
(Employees only)
1st week
12.
Body part:
Head
Neck
Trunk
Upper limb
Lower limb
Multiple locations
Systemic internal organs
13.
Nature of injury or disease:
Fatal
Name
Residential
address
Date of
birth
11.
Agency of accident/serious harm:
Machinery or (mainly) fixed plant
Mobile plant or transport
Powered equipment, tool or appliance
Non-powered handtool, appliance or
equipment
Chemical or chemical product
Material or substance
Environmental exposure (e.g. dust,
gas)
Animal, human or biological agency
(other than bacteria or virus)
Bacteria or virus
1st month
1-6
Fracture of spine
Puncture wound
Other fracture
Poisoning or
toxic effects
Dislocation
Multiple
injuries
Sprain or strain
Damage to
artificial aid
Head injury
Disease,
nervous system
Internal injury of trunk
Disease,
musculoskeletal system
Amputation, including eye Disease,
skin
Open wound
Disease,
digestive system
Superficial injury
Disease,
infectious or parasitic
Bruising or crushing Disease,
respiratory system
months
6 months-1 year
Over 5 years
Non-employee
1-5 years
8. Treatment of injury:
None
First Aid only
Doctor but no hospitalisation
Hospitalisation
am/pm
Date
Shift
Afternoon
Day
Night
14.
Where and how did the
accident/serious harm happen?
Foreign body
Disease,
circulatory system
Burns
Tumour
(malignant or benign)
Nerves or spinal chord
Mental
disorder
15.
If notification is from an employer:
(a)
has an investigation been carried
out?
Yes
No
(b)
was a significant hazard involved?
Yes
No
Name and
position:
(Use capitals)
Check that the details on this copy are complete and forward it to your nearest
WorkSafe office
BRANCH/DEPARTMENT
NAME OF INVESTIGATOR
PARTICULARS OF INCIDENT
Day of Incident
(circle)
Time
Project/Site
Date Reported
M T W T F S
S
INJURED PERSON
Name:
Age:
Phone number:
Reported date of incident:
Address:
Length
of
Time on job:
TYPE
OF Bruising
Other
Dislocation
Strain/sprain
Internal
(specify)
Scratch/abrasion
Fracture
Amputation
Foreign Injured part
Burn scald
Chemical of body:
Laceration/cut
DAMAGED PROPERTY
Property/material damaged:
employment:
Remarks:
Nature of damage:
Object/substance inflicting damage:
INCIDENT
Description
Describe what happened (space overleaf for diagram essential for all vehicle
incidents):
Analysis
What were the causes (root and contributing causes) of the incident?
Root causes safety system failures:
Prevention
What action has or will be taken to prevent a
recurrence?
Tick items already actioned (use space overleaf if
required)
Completed
X
By
whom
Date:
WORKSAFE
advised:
Yes
No
Date:
/
When
NOTES:
Trade
and
Skills
Training
(Specify
all
types)
Formal
Qualifications,
Certificates,
Licences, and
Unit
Standards
(Specify all
types)
Competence
Level of
Competence in
Current Job
(use LULU)
Date
Current
Site
Safe
Card
Expiry
Date
Training, Qualifications,
Experience
No. Years
Experience in
Name
Site
Induction
Current
Site
Safe
Card
Type
and
Number
(See
key
below)
Key: